Individual
DR. JOHN E BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
844 KEMPSVILLE RD, SUITE 204, NORFOLK, VA 23502-3927
(757) 261-0700
(757) 962-1254
Mailing address
205 BUSINESS PARK DR, SUITE 200, VIRGINIA BEACH, VA 23462-6535
(757) 962-1083
(757) 962-1254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101047932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
TRICARE/CHAMPUS (EVMS HEALTH SERVICES)
VA
05
—
006040039
—
VA
05
—
006084664
—
VA
01
—
0500M
BC/BS NC
VA
01
—
092965
ANTHEM BCBS
VA
01
—
15792
SENTARA OHP/SHP
VA
01
—
15936
OPTIMA
VA
01
—
249506
MAMSI
VA
01
—
250144
ANTHEM
VA
01
—
263654
UHC/MAMSI/MDIPA
VA
05
—
890500M
—
NC
01
—
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
02/07/2006
Last updated
02/19/2009
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